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Organization
QUEENS DENTAL SLEEP MEDICINE, LLC
Active
Organization
QUEENS DENTAL SLEEP MEDICINE, LLC
Active
Other names
Koala Center for Sleep Disorders NY-2
Organization subpart
No
Provider details
NPI number
Authorized official
LILY W. ENG DDS (OWNER)
(718) 683-9040
Entity
Organization
Contact information
Practice address
3560 74TH ST # 103A, JACKSON HEIGHTS, NY 11372-4316
(718) 683-9040
Mailing address
11825 N. STATE ROUTE 40, STE 100, DUNLAP, IL 61525
(309) 376-8385
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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